Dr. Salem Abu Khaizaran

History of IVF

1977, first IVF pregnancy (ectopic).(By Edwards &Stepto).

IVF IN Palestine

1995 , establishment of first IVF center in Palestine ( Razan medical Center), using conventional IVF

1996 , introduction of ICSI .1998, introduction of freezing system. 2009, PGD was introduced.

PSFGEstablished in 2000.Members are Palestinians inside &

outside the country. Legislation : NO of embryos to be

transferred. Faith of embryos Training

Peculiarities OF IVF IN Palestine

Male Factor ..Prisoners No borders.(High tech medicine)

Palestine … Many Centers

5 centers in Gaza .

8 centers in West bank.

Multiple Gestational Pregnancies

The transfer of multiple embryos in a single cycle may increase success rate

BUT also: increases the rates of multiple births

PGD Ethical Issues What is PGD?

Technology used in conjunction with in vitro fertilization to screen embryos for genetic conditions prior to transfer:

• Remove a cell from a 3-day old embryo fertilized in vitro

• Analyze cells for specific genetic or chromosomal abnormalities (PCR or FISH)

PGD Ethical Issues 1990: PGD first used to screen against

genetic mutation for cystic fibrosis and Aneuploidy .

Since 2003, the procedure was able to select against 100 different genetic conditions.

Another uses : Avoidance of late-onset diseases Tissue-typing to save the life of another

child sex selection

Fertility preservation

Female fertility is well documented to decrease with age .

For cancer patients

Social reasons

Do we need regulations ??

Definitely we need regulations.

Do we need regulations ??

PSFGMedical association through GYNE & OBS

society Ministry of health

Conclusion IVF is a big industry now in Palestine , with

hundreds of people working in this industry with millions of dollars per year .

This industry needs regulations.